Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 47555 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Biliary Endoscopy Percutaneou, Biliary Endoscopy Percutaneous Via T-Tube Or Other Tractwith Dilation Of Biliary Duct Stricture(S)Without Stent Biliary Endoscopy Percutaneous Vi A T-Tube Or Other Tract
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 47555 |
| Medicaid Fee Schedule | View Medicaid rates for 47555 |
National average reimbursement for CPT 47555 by major payers:
$449.34
$480.84
$484.17
$556.99
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 47555.
CPT 47555
5 of 25 sample ratesHigher to lower in this preview
Howard Community Surgery Center LLC
$7,825.00Published rateWilton Surgery Center LLC
$3,442.00Published rateSemmes-Murphey Clinic PC, Semmes Murphey Surgery Center
Semmes-Murphey Clinic PC
$1,800.00Published rateEps Surgical Center, LLC
Eps Surgical Center LLC
$1,172.00Published rateToledo Endoscopy Asc LLC, Northwest Ohio Endoscopy Center
Toledo Endoscopy Asc LLC
$826.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 47555 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 47555 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 47555 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 47550-CPT | Moderate | Bile Duct Exam With Scope, An Exam Of The Bile Ducts Using A Scope (Endoscope). The Procedure May Be Done During A Surgery And Cells May Be Collected. |
| 47552-CPT | Moderate | Biliary Endoscopy Percutaneous Via T-Tube Or Other Tract; Diagnostic With Collection Of Specimen(S) By Brushing And/Or Washing When Performed (Separate Procedure) (Revised 01/01/2014) |
| 47553-CPT | Moderate | Biopsy Of Bile Duct, An Exam Of The Bile Duct Using A Scope (Endoscope). The Procedure Removes A Sample Of Tissue For Testing (Biopsy). |
| 47555-CPT | Moderate | Biliary Endoscopy Percutaneou, Biliary Endoscopy Percutaneous Via T-Tube Or Other Tractwith Dilation Of Biliary Duct Stricture(S)Without Stent Biliary Endoscopy Percutaneous Vi A T-Tube Or Other Tract |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 47555. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 47555 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 47555) and we'll show you how you compare in 15 minutes or less.